Job Description
- Job Description:
- Respond to member inquiries via phone, email, or chat with professionalism and empathy.
- Resolve member level issues related to pharmacy benefits, claims, eligibility, and other service needs.
- Escalate complex cases to senior support staff as needed.
- Document all member interactions accurately to ensure compliance and service quality.
- Identify recurring issues and share feedback with leadership for process improvement.
- Work closely with Client Support Supervisors and Account Managers.
- Engage in ongoing training to build skills in customer service, systems navigation, and healthcare knowledge.
- Requirements:
- 1–2 years of experience in customer service, healthcare, insurance, or benefits.
- Strong verbal and written communication skills.
- Ability to manage member issues with empathy and attention to detail.
- Must reside in the MST or PST time zones.
- Associate’s degree in Business, Healthcare Administration, or related field preferred.
- Familiarity with CRM platforms, call center tools, or SOP documentation preferred.
- Interest in career growth within client support or account management.
- Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
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